HomeMy WebLinkAbout202962 10/25/2011 f CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
g� ONE CIVIC SQUARE CUS TRU
PA
A V
WE AUTO INC CHECK AMOUNT: $182.00
CARMEL, INDIANA 46032 49 FOU D
46074 CHECK NUMBER: 202962
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 12977 182.00 AUTO REPAIR MAINTEN
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896 -5956
10/10/2011 11:54 AM page 1
Invoice 12977
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle :2003 INTERNATIONAL 4300 AMBULANCE DT466 Tag /State 64533 IN
VIN 3HTMNAALX3N585816 Color Red
Fleet R45
Created 9/16/2011 11:51:09 AM Odometer In 118244
Complete 9/16/2011 11:55:04 AM Odometer Out: 118244
Invoiced 9/16/2011 11:55:04 AM
Contact BOB (664 -0958)
Qty Code/Tech' Reference Description Condition Unit Price Price
PM' GENERAL USE LABOR $160.00
RE PARE REAR CROS MIMBER
5 PM' SHOP SUPPLIES $3.00 $15.00
FRAME BOL STE
Labor........................ $160.00
Parts........................ $0.00
Sublet/Misc. $0.00
SHOP SUPPLIES $7.00
Charges........................ $15.00
Sales Tax Tax Exempt 003120 $0.00
Total Due $182.00
Tech Certification
PM IPOJX9QK5MOODY
Any warranties on the item /items sold are those made by the manufacturer. The seller, Custom Truck
and Auto, Inc., hereby expressly disclaims all warranties, either express or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and Custom Truck and Auto,
Inc., neither assumes nor authorizes any other person to assume for it any liability in connection with
the same of this item /items.
PAYMENT IS DUE AT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESS!
I II III I IIIIIIIIII II IIII II IIII
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12977 R45 $182.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER N WAR NO.
ALLOWED 20
Custom Truck Auto, Inc.
IN SUM OF
17249 Foundation Parkway
Westfield, IN 46074
$182.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1120 I 12977 I 43- 510.00 I $182.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
OCT 2 4 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund